Stark, Sally Magdalen

Stark, Sally Magdalen is an individual health care provider with primary practice located at 110 W Ent Ave , Peterson Afb CO 80914-1595. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Stark, Sally Magdalen can be contacted via phone (719) 556-0510.

Contact Information

Primary practice address
110 W Ent Ave Peterson Afb CO 80914-1595
Phone: (719) 556-0510
Fax: (866) 867-7926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 57995 Colorado

Profile Details

NPI number 1528040995
LBN Legal business name Stark, Sally Magdalen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Mar 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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